Sept 2021 - Aug 2022 Group Fitness Membership Liability Waiver - Adult

RELEASE OF LIABILITY, WAIVER CLAIMS, ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT

IMPORTANT NOTICE: BY SIGNING THIS AGREEMENT, YOU ARE ACCEPTING RISKS AND AGREEING TO GIVE UP CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE.  DO NOT SIGN THIS AGREEMENT UNTIL YOU HAVE READ IT, COMPLETELY UNDERSTAND IT, AND AGREE TO ALL OF ITS TERMS.

Singular and plural: In this waiver, the singular (“I”, “my”, “his”, “her”, “child”, etc.)  will also include the plural (“we”, “our”, “their”, “children”, etc.).

TO: The Glebe Neighbourhood Activities Group [hereinafter “GNAG”]

Assumption of Risk and Waiver of Liability: I fully understand that the program or activity for which I have enrolled may involve personal risk, dangers, and hazards that all participants are required to assume including but not limited to some risk of personal injury caused by physical activity or other participants. Without limiting the generality of the foregoing, and despite GNAG’s screening efforts to detect COVID-19 infections, I acknowledge that the reference to risk above includes the contagious nature of COVID-19 and assume the risk that I may be exposed to or infected with COVID-19 by participating in the GNAG program or activity which in turn may be transmitted to myself and to any next of kin. Understanding this, I hereby accept all risks, dangers, and hazards as well as the possibility of personal illness, personal injury or other loss resulting from my participation in this program or activity. I agree to release, waive, and discharge GNAG and the City of Ottawa and all of its directors and officers, employees, officials, agents, and volunteers (collectively and individually the “Releasees”) from all liability to myself and to my heirs, executors and administrators, that we have, or may have in the future, for all loss or damage and from any claims or demands for such loss or damage on account of personal illness, personal injury, and damage including death or property loss, however caused, including without limitation, the negligence or omissions of the Releasees, as a result of my participation in this program or activity.

Indemnification: I hereby agree to indemnify and save harmless GNAG and the City of Ottawa and all of its directors and officers, employees, officials, agents, and volunteers from any and all liability for any property damage or personal illness or personal injury to any third party resulting from my participation in this program or activity.

Severability: If anything in this Agreement is found by a Court to be unenforceable, then it will be modified to reflect the parties’ intention. Everything else in this Agreement will remain in full force and effect.

1. Are you double vaccinated against COVID-19?
  YES  NO

2. What is the date of your second vaccination? YYYY-MM-DD


By signing below, I agree with the terms of the permission to participate, the assumption of risk, the waiver of liability, and the indemnification set out above.